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Andy Langdown: Consultant Hip Surgeon, Portsmouth

Consultant Hip Surgeon, Portsmouth: Andy Langdown
Consultant Hip Surgeon, Portsmouth: Andy Langdown

A Portsmouth-based lower limb specialist offering the full range of procedures to treat hip problems, including total hip replacement, hip arthroscopy and hip resculpting, with a particular interest in the treatment of arthritis and hip impingement in the younger patient.


Mr Andy Langdown is Consultant Orthopaedic and Trauma Surgeon at Portsmouth Hospitals NHS Trust.  He provides private hip surgery at Spire Portsmouth Hospital.


An experienced hip specialist in Portsmouth

Trained in Bristol, Oxford and Australia, Mr Langdown is an experienced orthopaedic and trauma surgeon specialising in hip replacement surgery and hip arthroscopy.  Skilled in the latest surgical techniques and offering the most up-to-date high performance implants, he provides expert treatment for hip problems affecting all age groups, including people under 60 with painful arthritic hips and those with hip symptoms caused by femoroacetabular impingement.


Hip conditions treated by Mr Andy Langdown

Mr Langdown offers treatment for a range of hip conditions, including:


  • Osteoarthritis
  • Rheumatoid arthritis
  • Avascular necrosis
  • Hip dysplasia
  • Femoroacetabular impingement
  • Hip labral tear
  • Hip articular cartilage damage


Andy Langdown in theatre

Hip replacement surgery in the younger patient

Hip replacement surgery is a routine and very effective treatment for worn, fractured or diseased hip joints.  It is most commonly used in cases of osteoarthritis, a degenerative condition that generally affects older people.  Involving progressive loss of the cartilage covering the joint surfaces, development of bony spurs and a stiffening (fibrosis) of the joint capsule, osteoarthritis of the hip is characterised by pain and joint stiffness, which in some instances can be disabling and life-affecting.


Osteoarthritis can develop in younger patients (under the age of 60) as a result of previous injury to the hip joint or overuse, developmental disorders such as hip dysplasia or hip impingement, or pathological conditions such as avascular necrosis and Perthes disease.  Until quite recently, hip replacement surgery was not recommended for younger patients as the plastic component of a traditional implant would wear out with time, particularly in an active patient.  More recent advances in implant technology, however, mean that a range of longer-wearing options is available, including metal-on-metal hip implants and ceramic-on-ceramic hip implants.  As well as wearing more slowly, these new types of implant can also withstand higher activity levels than traditional implants, allowing younger patients to return to a full and active life, including some sports.


Investigation and treatment of hip impingement in Portsmouth

Also known as femoroacetabular impingement, hip impingement is a recently recognised cause of hip symptoms such as groin pain and a catching or locking-up of the hip.  Hip impingement is the result of subtle defects in the anatomy of the hip joint, with either the ball of the joint (femoral head) being not quite spherical, or the socket (acetabulum) being too deep.  Over time these defects can lead to damage to the fibrous cartilage that surrounds the acetabulum (labrum) or to the articular cartilage, eventually resulting in the development of osteoarthritis.


Mr Langsdown is highly skilled in the use of hip arthroscopy, both to diagnose and treat hip impingement.  Any damage to the labrum and articular cartilage is assessed and treated using a fibre-optic probe and special instruments inserted through small incisions.  If the hip is found to have no significant signs of arthritis but there is evidence of impingement, this may be treated by removing the abnormal bump on the femoral head in a novel procedure known as hip resculpting.  Hip resculpting has so far produced very good results in terms of relief of symptoms, however the procedure is too new to determine for sure whether it also lowers the risk of developing osteoarthritis.




 

GMC Number:                 4015886        Check this doctor's GMC registration

Date of Registration:     1 Aug 1994

 

Accreditation and admitting rights at private hospitals

Mr Andy Langdown is an accredited consultant for the UK's leading private healthcare providers and private hospitals, including Spire Healthcare

Spire admitting rights

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Mr Andy Langdown


Consultant Orthopaedic Surgeon
 

Spire Hospital Portsmouth, Bartons Lane, Havant
, Hampshire, PO9 5NP  


Tel:  02392 370398 - Julie Gibson (secretary)

Fax: 02392 370398


Email:  info@hipandkneeadvice.com

Website: www.hipandkneeadvice.com

 

Treatments offered

  • Hip arthroscopy

  • Total hip replacement (primary and revision)


  • Uncemented hip replacement

  • High performance bearings (ceramic-on-ceramic hip replacement, metal-on-metal hip replacement)

  • Minimal access surgery

  • Rapid postoperative rehabilitation

  • Hip impingement surgery and hip resculpting
 

Qualification and memberships





Qualification

  • BSc
  • MB ChB
  • FRCS (Tr & Orth)
 

Membership




 


Places of work

Spire Portsmouth Hospital, Bartons Road,  Havant, Hampshire, PO9 5NP 

Tel: 023 9245 6000 

 



Clare Park Hospital, Crondall Lane, Farnham, Surrey, GU10 5XX   

Tel: 01252 850216